Can a Safe Community Model Contribute to a Vision Zero Goal In Traffic? Presentation at Seminar on Traffic Safety Promotion- Primary and Secondary Prevention Hong Kong 30 th October 2009 Leif Svanström

What is Vision Zero in Traffic Area? (1) Sweden's Vision Zero: no fatalities or serious injuries in road traffic. World Health Organization;World Health Day road safety : ”In 1997, Sweden’s parliament adopted Vision Zero, a bold new road safety policy based on four principles:”

What is Vision Zero in Traffic Area? (2) Four Principles 8A): 1. Ethics: Human life and health are paramount and take priority over mobility and other objectives of the road traffic system; 2. Responsibility: Providers and regulators of the road traffic system share responsibility with users; 3. Safety: Road traffic systems should take account of human fallibility and minimize both the opportunities for errors and the harm done when they occur; and

What is Vision Zero in Traffic Area? (3) Four Principles (B): 4.Mechanisms for change: Providers and regulators must do their utmost to guarantee the safety of all citizens; they must cooperate with road users; and all three must be ready to change to achieve safety. Several other countries have followed the Swedish example. Vision Zero provides a model suitable for many.

World Health Organization: TIME FOR ACTION GLOBAL STATUS REPORT ON ROAD SAFETY 2009 (1): Road traffic injuries remain a global public health problem

GLOBAL STATUS REPORT ON ROAD SAFETY 2009 (2): Road safety laws: Speed; Drinking and driving; Use of motorcycle helmets; Seat-belt use; Use of child restraints.

GLOBAL STATUS REPORT ON ROAD SAFETY 2009 (3): Few countries have reliable data on road traffic injuries; Data on fatalities; non-fatal injuries; economic costs; monitoring and evaluation.

What is a Safe Community? A “Safe Community” can be a Municipality, a County, or a City. They work with safety promotion, injury-, violence- and suicide- prevention as well as prevention of the consequences (human injuries) related to natural disaster. Their work covers all age groups, gender and areas and is a part of an international network of accredited programs.

Hong Kong SAR, China 31 Tuen Mun (2003,2009) Kwai Tsing (2003,2008) Sham Shui Po (2006) Tung Chung (2006) Tai Po (2005) Tsuen Wan (2006) Sai Kung (Oct ) 7 “Accredited” Safe Communities:

26 Safe Communities in Mainland China 30 October 2009 Shenzhen Honey Lake Shanghai Hong'qiao Huamu Jing’an Kangjian Huaihai Zhangjiang Xinjiangwancheng Shandong Youth Park Jinan City Huaiyin Beijing Dongzhimen Financial Sub-district Jianwai Wangjing Yuetan Balizhuang Anzhen Xiaoguan Shanghai Hong'qiao Huamu Jing’an Kangjian Huaihai Zhangjiang Xinjiangwancheng Shanxi Lu’an Chaoyang Maizidian Yayuncun Fengnan Qianjiaying Kailuan Hebei Jing Ge Zhuang Kailuan

Evidence for traffic safety (Educational programs by themselves appear to have little effect.)  Use of cycle helmets  Use of child car restraints  Provision of crossing patrollers  Re-distribute traffic  A number of community programs with broad range of interventions have been effective at reducing injuries

Traffic safety (Dowswell et al.)  The key to success has been the sustained use of surveillance system,  The commitment of agencies in co-operating, develop networks and implement a range of interventions is crucial  Education, environmental modification and legislation in combination all have a part to play and had effect in significantly reducing motor...injuries.

Success of comprehensive community- based interventions- Safe Communities  The Swedish Falköping program was first- after three years overall decrease was 23%- and traffic 28%  The Norwegian Harstad program showed a 27% decrease  Similar results in USA, Australia, New Zealand and other countries

Safe Communities- combining top-down with bottom-up strategies- 8 steps:  Epidemiological mapping (sustained injury surveillance)  Selection of risk groups and environments  Forming intersectoral task force groups  Joint planning of action programs  Implementation of programs  Evaluations of programs  Modification of programs  Spreading the experience to others

Specific Indicators for Different Settings There is one set of indicators for Safe Community development but also subsets of indicators. These were developed for further development of the Safe Community movement and improving the quality of safety promotion: Safe Traffic; Safe Sports; Safe Homes; Safe Elderly; Safe Work Place; Safe Public Places; Safe Schools; Safe Waters and Safe Children.

Specific Indicators for Different Settings There is one set of indicators for Safe Community development but also subsets of indicators. These were developed for further development of the Safe Community movement and improving the quality of safety promotion: Safe Traffic; Safe Sports; Safe Homes; Safe Elderly; Safe Work Place; Safe Public Places; Safe Schools; Safe Waters and Safe Children.

Indicators for Safe Transport (see separate file)

Sweden Swedish Association for Safe Communities (SCCC) Czech Rebublic Centre for Injury Prevention (ASCSC) Serbia National Center for Injury Prevention and Safety Promotion, (ASCSC) Uganda Injury Control Center (ASCSC) South Africa Centre for Peace Action (ASCSC;SCCC) Canada Safe Communities Canada (ASCSC;SCCC) USA National Safety Council (ASCSC) Peaceful Resources Center (ASCSC;SSCC) Injury Prevention Research Center (ASCSC) Colombia Instituto CISALVA (ASCSC;SCCC) China China Occupational Safety & Health Association (ASCSC) Occupational Safety and Health Council, Hong Kong (ASCSC;SSCC) Taiwanese Community Safety Promotion Center (ASCSC;SSCC) South Korea Center for Injury Prevention and Community Safety Promotion (ASCSC;SCCC;SSCC) Bangladesh Centre for Injury Prevention and Research (ASCSC) Australia Royal Children´s Hospital Safety Centre (ASCSC) Australian Safe Communities Foundation (SCCC) New Zealand Safe Communities Foundation (ASCSC;SCCC;SSCC) The Affiliate Safe Community Support Centres (ASCSC), Safe Community Certifying Centres (SCCC) and Safe Schools Certifying Centres (SSCC) These Affiliate Centres are supporting the WHO CC in the development of the Safe Communities Program and providing advice and assistance in the field of injury prevention and safety promotion to the communities in their country and internationally. The Certifying Centres also take care of the certifying function of the WHO CC. 30 October 2009

Chair Leif Svanström Co-ordinator Moa Sundström 30 October 2009